Individual
DR. BRADLEY W. WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
203 AVALON AVE STE 120, MUSCLE SHOALS, AL 35661-2857
(256) 386-1490
Mailing address
203 AVALON AVE STE 120, MUSCLE SHOALS, AL 35661-2857
(256) 386-1490
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
3204
TN
208VP0014X
Interventional Pain Medicine Physician
Primary
3204
TN
Other
Enumeration date
11/02/2005
Last updated
07/31/2023
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